NPI | 1235952276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026234) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6499) |
Enumeration Date | 2024-11-07 |
Last Update Date | 2024-11-07 |